| George Vesper | |
|
420 E Main St Greenwood IN 46143-1364 | |
| (317) 807-0456 | |
| Not Available |
| Full Name | George Vesper |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 420 E Main St, Greenwood, Indiana |
| Authorized Official Name and Position | George Vesper (COUNSELOR) |
| Authorized Official Contact | 3178070456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George Vesper 420 E Main St Greenwood IN 46143-1364 Ph: (317) 807-0456 | George Vesper 420 E Main St Greenwood IN 46143-1364 Ph: (317) 807-0456 |
| NPI Number | 1710613831 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 07/29/2022 |
| Certification Date | 07/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710613831 | NPI | - | NPPES |
| 1770748048 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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